Application of an active oxygen (blue®m) with free connective graft technique for root coverage – a case report

Abstract

Gingival recession occurs due to the migration of the gingiva in the apical direction, leading to compromising local aesthetics and root hypersensitivity. Connective tissue graft is the gold standard treatment in these cases improving both functional and aesthetics aspects.The purpose of this case is to report root coverage using the free connective tissue graftingtechnique (CTG) associated with topical application of active oxygen oral gel and mouthwash (blue®m). A 27-year-old female sought care with the main complaint of root hypersensitivity and the presence of gingival recession in the anterior region of the mandible. Clinical examination revealed the presence of type 1 gingival recession in the left mandibular central incisor. The treatment of choice was a modified graft (free connective graft). The graft and recipient bed received applications of blue®m oral gel. The patient was instructed to use blue®m mouthwash and blue®m oral gel after the surgery for 10 days. At 60 days, the patient showed satisfactory healing in the area of the free CTG, with gain of keratinized tissue and partial covering of the gingival recession. Free CTG with the support of the gel and the mouthwash with active oxygen release makes the technique viable, preventing graft necrosis and achieving root coverage and keratinized tissue.

Oxygen therapy for treatment of oral lesions following COVID-19 infection: a case report

“…Regarding the treatment proposed here, presence of active oxygen in wound healing is essential because it promotes increased cellular metabolism, increased collagen synthesis, increased antibacterial activity, promotes and facilitates the release of growth factors, increases angiogenesis and promotes tissue revascularization (Eisenbud, 2012;Stroparo et al, 2021b;2021c) showing better case prognosis, as demonstrated in the rapid healing and disappearance of the painful symptomatology of the lesions in this report.…”

“…In this context, it is known that use of oxygen therapy promotes better tissue healing, as it stimulates angiogenesis, promotes revascularization and has an antimicrobial effect, making healing faster and reducing discomfort felt by patients when used in the postoperative period (Eisenbud, 2012;Stroparo et al, 2021bStroparo et al, , 2021c. These are aspects than can be considered potentially relevant for the treatment of lesions resulting from COVID-19.…”